Individual
RICHARD HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
664 12TH ST W, DICKINSON, ND 58601-3511
(701) 456-7675
Mailing address
664 12TH ST W, DICKINSON, ND 58601-3511
(701) 456-7675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2168
ND
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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